Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.50 / $6,492.00 / $17,538.00	Facility		$1,982.50	$6,492.00	$17,538.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,509.33 / $7,060.00 / $18,086.80	Facility	50	$4,509.33	$7,060.00	$18,086.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.66 / $4,004.78 / $9,434.92	Facility		$3,388.66	$4,004.78	$9,434.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $474.31 / $917.87 / $1,239.11	Professional		$474.31	$917.87	$1,239.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.32 / $1,049.58 / $1,870.48	Professional		$808.32	$1,049.58	$1,870.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,433.64 / $15,214.55 / $26,542.00	Facility		$4,433.64	$15,214.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $179.89 / $1,442.13 / $1,442.13	Facility	AS	$179.89	$1,442.13	$1,442.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.38 / $1,034.20 / $1,481.66	Facility		$825.38	$1,034.20	$1,481.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $255.87 / $255.87 / $255.87	Facility	AS	$255.87	$255.87	$255.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00